130 Club Dr - Fence ;S rV.l,j
�" -' '. ‘�5\ CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
J ;" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
JYI>r'
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-1133
Job Type: FENCE PERMIT
Description: NEW FENCE
Estimated Value: $0.00
Issue Date: 6/3/2016
Expiration Date: 11/30/2016
PROPERTY ADDRESS:
Address: 130 CLUB DR
RE Number: 170319-0000
PROPERTY OWNER:
Name: Shields, David
Address: 53 Oceanside DR
GENERAL CONTRACTOR INFORMATION:
Name: ELITE CUSTOM HOMES & RENOVATIONS INC
Address: 2304 Peach DR
Phone: 904-686-4818
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITTI ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
„LII-I-W City of Atlantic Beach APPLICATION NUMBER
�s Building Department (To be assigned by the Building Department.)
-• 800 Seminole Road `��nJ� l
Atlantic Beach, Florida 32233-5445
• Phone(904)247-5826 • Fax(904)247-5845
\\J,il9'” E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ` JC) C. I (A) 0 r- Department review required Yes No
Build'
Applicant: _ _ L.SA iti• — tanning &Zoning'''")
Project: fr' e_ Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
II Other:
APPLICATION STATUS
Reviewing Department First Review: ZApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: %c"'"'Z (-----.14------ Date:_ '7911//
TREE ADMIN. Second Review: Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
1
i
�``L��i`'�` BUILDING PERMIT APPLICATION
OriCITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 • Fax:(904)247-5845 ( C _F E—(
(
Job Address: 130 C I ob Oc. Permit Number: /s--Sft'- 2 3
�,tom. 4- 00,A t Com-
Legal Description 044 C1jbCi\c r ¶k4- lc Rsc 62 /70,,
k WeiD4 RE#
Valuation of Work(Replacement Cost) $ ----- Heated/Cooled SF `' ' Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move D-is• Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial 'esidentia ce P C e-
■ If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No in
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Fo'nbC Ikt0..?a, ?cva-,;-- P,cc,,A-- col,A. Two , e--S
Florida Product Approval# I for multiple products usePP
roduct approval form
P
Property Owner Information
Name: --6,1'\r 1-}k Address: /ft OCea,A 7 L t1
City 244(4 c- t-4.11 State( Zip 3223 3 Phone 1Y-1 ' Z 1 6 - ‘FV/
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Contractor Information: �J J
Name of Company: Eat tue� 1-64,-e.5 f t `ox-rc- Qualifying Agent: �Grrtt05 ' /< //
Address: g 3C14 ?prd,h pt- City ,�fir, tit (t_ State Zip ?�2 X.i.-
Office Phone /--233-4i3o Job Site/Contact Number r9i/-d14-9 1 e
State Certification/Registration # ((3C/2a)142 r E-Mail 5/4 6,0b/Tv4,4 64 elD yOkee,.ems
Architect Name& Phone#
Engineer's Name& Phone#
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
Application is hereby made to obtain a pe it to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit an; hat a 1 work will be performed to meet the standards of all laws regulating construction in this jurisdiction.
This permit becomes null and void ork is not con enced within six(6) months, or if construction or work is suspended or abandoned for a
period pf six(6)months at any time -r w rk is com d. I understand that separate permits must be secured for Electrical Work,Pin mg,Signs, Wells,Pools, Furnaces,Bo: • • H: ,to• , Tale,' d Air Conditioners,etc.
Signature of Property •wner: Aid Signature of Contr.vi: 1
/ p
Befolte-tne /'
this I ( Day of l IOW,l_-. / Before me this WJ Day . , Q ," • Ir
�� / ...0- _ �M 1 o r
Notary Public: - • ��, A NotaryNowPublic: fel 'A1 A r
=.• t MY COMMISSICN It Itt. t
. 1,., :,;o I `•%,lir. ExP�IRES:October 6, I9
I hereby cerl� I
�.d+1� •,pati .dr �« , d t s a ltcat-: a d know the same to be true c"�f: add
,., •i.,i . pp � � •,,,�, ciao '�G�YyR2616 tl
ordinances gn i,,,;n._th • : {I� -' 'be� omplied • vhether specified herein or - - - --- ! ,t
presume to ?•.;•-,frit o Th t• P� g9t en t,•provisions of any other federal, state, or local law regulating construction or the
perfotmanc eiWi.ti
Rev.3/14/16
fePte D [
130 1k)1 Sc u
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ORDERED BY: _..�.._......_.______..�.._...__..._._...�.�.__.......�._.._�_____._�.i _._.. . .. . .. . I i --70.4, 40.I �—�,�� '�
" i r 4IFA'
' t.
The Law Offices of Rod Sch(oth .... � ,
2187SThirdSt 1 �� ; Yt ,
t
Jacksonville Bch, FL 32250 S k
904-372-9351 ._.• " -
beach®rod-law.com
PROPERTY ADDRESS: 130 CLUB DRIVE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL1308.0045
FIELD WORK DATE:8/6/2013 REVISION DATE(S):(REV.0 8/6/2013)
•0
FL 1308.0045 _ __-_..._.._.. --,--__ :::r.--.V
BOUNDARY SURVEY jT=
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I hereby certify that this Sketsh of S,tgxey of*hereon described property has NoTr5.
been made under mydirection,,, n t; e best of my knowledge and belief,itis 5r.-1r;AC:c yeoktok r10r;S,?OWN c, P:AT,NOT VtPieirD
a true and accurate repteset t do •"-survey that meets the minimum technical Lor APrn;AP_510 3C SERVICED a'i CIT'(WAT;:R AND r,EWZR
9 FENCE OWNEPSr11P NOT DETERFAINED
standards set forth by the ". •"= 4/0/Trdeisloal Land Surveyors as
described in Chapter \17 of,t1-s riT•'�FAdminisli.pt(ve Code.
e'f FLORIDA 4C \
s./oA, s.e' 30' 20' la 0 15' 30'
''C SUR-0°-
NIMMIIIMI
_
B.Haas L —
Slate of Florida Professional Surveyorand Mapper GRAPHIC SCALE
PPe ,Inuni�u.
License No.3708 I inch = 30 feet
Use of This Survey for Purposes other than Intended,Without Written Verification,will be at the User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
FLOOD INFORMATION: POINTS OF INTEREST
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING NONE VISIBLE
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF
ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06/03/13.
;�,nrti;,rY Florida Land
CLIENT NUMBER:RS13-1651 DATE: 8/6/2013 AFFILIATE
Title Association MEMBERS
BUYER:DAVID R SHIELDS&JANET C SHIELDS L'-TA
SELLER: GERARDO MONARI BALBONI,II&LELA CAMP BALBONI
•
WM. MOW
CERTIFIED TO:DAVID R SHIELDS&JANET C SHIELDS;THE LAW
E ".... AcTA
OFFICES OF ROD SCHLOTH,P.A.;OLD REPUBLIC
NATIONAL TITLE AND INSURANCE COMPANY;N/A
' • Land SurveyorsInc. www•exactaland.com
P.866.735-
/ 1916•F.866-744.2882
This is page 1 of 2 and is not valid without all pages. Lga7337 11940 Fairway Lakes Drive,Suite 1.Ft.Myers,FL 33913